[{"data":1,"prerenderedAt":46},["ShallowReactive",2],{"q-nurse-106-2-medical-surgical-041":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":23},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"freq":22},"nurse-106-2-內外科護理學-041","nurse-106-2-medical-surgical-041",106,2,41,"有關腫瘤溶解症候群的處置，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"預防性給與類固醇及抗組織胺劑","水分補充","預防性給與降尿酸藥物","密切監控病人尿量及小便酸鹼值","A",null,[],"本題考點在腫瘤溶解症候群(TLS)的病理與處置對應。TLS 是大量腫瘤細胞裂解,細胞內鉀、磷、核酸釋出,尿酸與磷酸鈣沉積於腎小管導致急性腎損傷,故處置核心是「稀釋與排除」。B 大量水分補充增加腎血流與尿量,沖走沉積物,正確;C 預防性 allopurinol 或 rasburicase 降尿酸生成,防止尿酸性腎病變,正確;D 監測尿量與尿液酸鹼(過去主張鹼化尿液促尿酸溶解)屬標準監測項目,正確。A 類固醇與抗組織胺劑是用於預防輸液或化療藥物的過敏反應,與 TLS 的代謝紊亂機轉無關,並非 TLS 的預防處置,故為錯誤選項,選 A。",1,[24,27,30,34,38,42],{"webId":25,"stem":26,"number":22,"year":9,"session":22},"nurse-106-1-medical-surgical-001","有關巴金森氏病治療之敘述，下列何者正確？",{"webId":28,"stem":29,"number":10,"year":9,"session":22},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",{"webId":31,"stem":32,"number":33,"year":9,"session":22},"nurse-106-1-medical-surgical-003","下列何者為出血性腦中風最主要的危險因子？",3,{"webId":35,"stem":36,"number":37,"year":9,"session":22},"nurse-106-1-medical-surgical-004","有關頸部脊髓損傷的神經性休克徵象，下列何者正確？",4,{"webId":39,"stem":40,"number":41,"year":9,"session":22},"nurse-106-1-medical-surgical-005","陳小姐診斷為腦下垂體腫瘤，進行經蝶骨腦下垂體切除術，術後出現尿崩症，下列敘述何者錯誤？",5,{"webId":43,"stem":44,"number":45,"year":9,"session":22},"nurse-106-1-medical-surgical-006","顱底骨折常出現的徵象，下列何者錯誤？",6,1783840737221]